Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $4,466.84 / $10,000.00	Facility		$380.19	$4,466.84	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $331.13	Professional		$64.57	$125.89	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $109.65	Professional		$74.13	$87.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $204.17	Professional		$54.95	$95.50	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $151.36	Professional		$97.72	$131.83	$151.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,000.00	Facility		$398.11	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $162.18	Professional		$61.66	$100.00	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $154.88	Professional		$41.69	$70.79	$154.88